Individual
DEENAH CAVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3305 SPRING ARBOR RD STE 200, JACKSON, MI 49203-3995
(517) 205-1285
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 999-5829
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273202
MI
363LF0000X
Family Nurse Practitioner
Primary
470427320
MI
363LF0000X
Family Nurse Practitioner
Primary
4704273202
MI
Other
Enumeration date
05/02/2018
Last updated
04/13/2026
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